Phan, Long

Phan, Long is an individual health care provider with primary practice located at 1904 Richland Ave , Ceres CA 95307-4562. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Phan, Long can be contacted via phone (209) 525-7411.

Contact Information

Primary practice address
1904 Richland Ave Ceres CA 95307-4562
Phone: (209) 525-7411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 147197 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 147197 California

Profile Details

NPI number 1215321849
LBN Legal business name Phan, Long
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2015
Last updated Nov 19th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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